@layout("/common/_form.html",{js:["/assets/legalServiceInfo/legalServiceInfo_edit.js"],plugins:["ue"]}){

<form class="layui-form" id="legalServiceInfoForm" lay-filter="legalServiceInfoForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">公司名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="请输入公司名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">上传照片<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <button type="button" class="layui-btn" id="uploadPhoto">
                                <i class="layui-icon">&#xe67c;</i>上传图片
                            </button>
                            <div class="layui-upload-list">
                                <img class="layui-upload-img" id="photoView"
                                     style="height: 150px;width: 150px">
                                <p style="width: 150px;" align="center">图片预览</p>
                            </div>
                            <input id="photo" name="photo" type="hidden" class="layui-input"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">分类<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <!--                            <input id="classify" name="classify" placeholder="请选择公司分类" type="text" class="layui-input" lay-verify="required" required/>-->
                            <!--                            <div class="layui-inline" >-->
                            <select id="classify" name="classify" class="layui-input">
                                <option value="">分类</option>
                                <option value="司法局">司法局</option>
                                <option value="司法所">司法所</option>
                                <option value="法律服务所">法律服务所</option>
                                <option value="律师事务所">律师事务所</option>
                                <option value="法律援助">法律援助</option>
                                <option value="公证处">公证处</option>
                                <option value="人民调解">人民调解</option>
                            </select>
                            <!--                            </div>-->
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">所属区域<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <!--                            <input id="region" name="region" placeholder="请选择公司区域" type="text" class="layui-input" lay-verify="required" required/>-->
                            <select id="region" name="region" class="layui-input">
                                <option value="">区域</option>
                                <option value="建阳">建阳</option>
                                <option value="建湖">建湖</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" placeholder="请输入联系电话" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系地址<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="address" name="address" placeholder="请输入联系地址" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">擅长领域<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="field" name="field" placeholder="请输入擅长领域" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">执业证号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="practiceCertification" name="practiceCertification" placeholder="请输入执业证号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">创立初始年份<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="practiceYears" name="practiceYears" placeholder="请输入创立初始年份" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">简介<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <script id="introduction" name="introduction" type="text/plain"></script>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}